Gluconeogenesis Flashcards

1
Q

What are the gluconeogenic substrates?

A

Amino Acids (Primary source)
Lactate
Glycerol

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2
Q

Where is pyruvate carboxylase found?

A

mitochondria of liver and kidney cells but not in muscle

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3
Q

What is the coenzyme for pyruvate carboxylase?

A

Biotin

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4
Q

How does oxaloacetate shunted from the mitochondria?

A

It’s reduced to Malate

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5
Q

What allosterically activates hepatic pyruvate carboxylase?

Where does this happen?

A

High levels of Acetyl CoA

Signal needs for OAA synthesis (fasting/starvation mode)

Mitochondria

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6
Q

When is pyruvate carboxylase inactive?

A

Under low levels of Acetyl CoA

Pyruvate is then oxidized in the TCA cycle

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7
Q

What enzyme converts OAA → PEP?

Where does it happen?

A

PEP-carboxykinase (PEPCK) using hydrolysis of GTP

Cytoplasm

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8
Q

What inhibits fructose 1,6-bisphosphatase?

A

Fructose 2,6-bisphosphate (product of PFK2 on the bifunctional enzyme) it’s an allosteric modifier

Hight levels of AMP (signal of low energy)

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9
Q

What activates fructose 1,6-bisphosphatase?

A

Hight levels of ATP and low levels of AMP

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10
Q

Fructose 2,6-bisphosphate is decreased by?

A

high levels of PKA because it binds to a G-protein and then increases cAMP which activates PKA. Once PKA is activated it phosphorylates the bifunctional enzyme and it turns OFF PFK2.

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11
Q

Where is glucose 6-phosphatase found?

A

In the liver and kidneys but not muscle (like pyruvate carboxylase)

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12
Q

What is Von Gierke’s Disease?

A

a glycogen storage disorder type I that has a defective glucose 6-phosphatase

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13
Q

What two methods does glucagon use to stimulate gluconeogenesis?

A
  1. Changes in allosteric effectors (lowers F 2,6-BP)

2. Covalent modification of enzyme activity (activates fructose 2,6-bisphosphatase by phosphorylation**

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14
Q

What is the metabolic effect of pyruvate kinase deficiency?

A

Inadequate ATP for maintaining ion pumps in RBC membrane resulting in loss of H2O

Damaged RBCs are subject to macrophage destruction in the spleen and leads to increased unconjugated bilirubin and increase in RBC 2,3-BPG proximal to the enzyme block

Increased 2,3-BPG shifts O2 binding curve right, decreasing O2 affinity

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